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JEAN SHIN DMD
NPI 1992291017
Dentist - General Practice in Dallas, TX

Active since July 02, 2018Opted out of Medicare · through Sep 25, 2027
14207 COIT RD STE 112, DALLAS, TX 75254(214) 420-7008 Get Directions Write a Review

NPPES record last updated: June 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2019, Jul 2, 2018 (2 updates tracked since 2018).

About Jean Shin Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEAN SHIN DMD (NPI 1992291017) is an individual general practice provider in Dallas, Texas, licensed in Texas (34936) and active in the NPI registry since July 2018. She has opted out of Medicare through September 25, 2027 and remains eligible to order and refer and maintains a secondary practice location in Crestview.

NPPES Registry Identity

NPI1992291017
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJEAN SHINCredential: DMD
Location Address14207 COIT RD STE 112Dallas, TX 75254-2839
Mailing Address2233 Mustang TrlFrisco, TX 75033-8379
Phone(214) 420-7008
Sole ProprietorNo
Enumeration DateJuly 2, 2018
Last NPPES UpdateJune 23, 20192 updates tracked since enumeration
✔ NPI 1992291017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in TX · 34936✔ Licensed in FL · DN23475
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
14207 COIT RD STE 112, Dallas, TX 75254
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Secondary Practice Location 1

Location 1222 Cedar AveCrestview, FL 32536-2706 · Phone (850) 682-2720

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jean Shin Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 25, 2019 through September 25, 2027.

Opt-Out Effective DateSeptember 25, 2019
Opt-Out In Effect ThroughSeptember 25, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75254 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAHIN SETOUDEHMARAM
Dentist (Orthodontics and Dentofacial Orthopedics)
14207 COIT RD STE 112
DALLAS, TX 75254
Dallas County (888) 676-2327
DR. SHEENA MERRY PHILIP D.D.S
Dentist (General Practice)
14207 COIT RD STE 112
DALLAS, TX 75254
Dallas County (972) 490-1600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jean Shin's NPI number?

The NPI number for Jean Shin is 1992291017. It was assigned to this individual provider in the NPPES registry on July 2, 2018.

Where is Jean Shin located?

Jean Shin practices at 14207 Coit Rd Ste 112, Dallas, TX 75254. The listed phone number is (214) 420-7008.

What is Jean Shin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jean Shin enrolled in Medicare?

No. Jean Shin has opted out of Medicare through September 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Jean Shin accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 8 other insurers list Jean Shin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jean Shin was last updated on June 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.